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Late Synovectomy of the Elbow Joint

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The Elbow

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Abstract

In 21%–68% of cases, the elbow joint is involved in rheumatoid arthritis (RA) [1–4]. Only in rare cases, i.e., 1.7%–3% [5, 6], does the disease start at this joint. At the time of initiation of treatment, the initial stage of rheumatoid arthritis is long over [7] and, according to Gschwend [2], distinct signs of destruction can be observed in 70% of the patients. As the elbow is located in the middle of a series of joints, it is of considerable importance. Therefore, many procedures have been developed for its surgical treatment.

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References

  1. Boyle JA, Buchanan WW (1971) Clinical rheumatology. Blackwell Sientific, Oxford

    Google Scholar 

  2. Gschwend N (1977) Die operative Behandlung der chronischen Polyarthritis mit einem Beitrag von Albert Böni, 2nd edn. Thieme, Stuttgart

    Google Scholar 

  3. Rainer F, Siegmeth W (1985) Handbuch der Inneren Medizin (ed: H Mathies). Springer, Berlin Heidelberg New York

    Google Scholar 

  4. Porter BB, Richardson C, Vainio K (1974) Rheumatoid arthritis of the elbow: the results of synovectomy. J Bone Joint Surg 56B:427–437

    CAS  Google Scholar 

  5. Vojtisek O (1968) Einige klinische Beobachtungen und Laborbefunde mit Rücksicht auf die Frühdianose der primär chronischen Polyarthritis. Beitr Rheumatol 13:21–29

    PubMed  CAS  Google Scholar 

  6. Fleming A, Benn RT, Corbett M, Wood PHN (1976) Early rheumatoid disease, part I and II. Ann Rheum Dis 35:357–364

    Article  PubMed  CAS  Google Scholar 

  7. Marmor L (1972) Surgery of the rheumatoid elbow — follow-up study on synovectomy combined with radial head excision. J Bone Joint Surg 54A:573–578

    Google Scholar 

  8. Tulp NJA, Winia WPCA (1989) Synovectomy of the elbow in rheumatoid arthritis — long term results. J Bone Joint Surg 71B:664–668

    Google Scholar 

  9. Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol 18:481–491

    CAS  Google Scholar 

  10. Ferlic DC, Clayton EP, Clayton ML, Freeman AC (1987) Elbow synovectomy in rheumatoid arthritis — long-term results. Clin Orthop 220:119–125

    PubMed  Google Scholar 

  11. Vahvanen V, Eskola A, Peltonen J (1991) Results of elbow synovectomy in rheumatoid arthritis. Arch Orthop Trauma Surg 110:151–154

    Article  PubMed  CAS  Google Scholar 

  12. Tressel W, Kähler G, Mohing W, Stephan E (1989) Ergebnisse der Synovektomie des Ellbogengelertkes bei chronischer Polyarthritis. Aktuel Probl Chir Orthop 37:57–60

    PubMed  CAS  Google Scholar 

  13. Stein H, Dickson RA, Bentley G (1975) Rheumatoid arthritis of the elbow. Pattern of joint involvement, and results of synovectomy with excision of the radial head. Ann Rheum Dis 34:403–408

    Article  PubMed  CAS  Google Scholar 

  14. Rymaszewski LA, Mackay I, Amis A A, Miller JH (1975) Long term effects of excision of the radial head in rheumatoid arthritis. J Bone Joint Surg 66B: 109–113

    Google Scholar 

  15. Brumfield RH, Resnick CT (1985) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 67A: 16–20

    Google Scholar 

  16. Waertel G, Wessinghage D, Zacher J (1989) Differentialindikation, OP-Technik und Nachbehandlungskonzept der Ellbogengelenkseingriffe beim Polyarthritiker. Aktuel Probl Chir Orthop 37:46–54

    PubMed  CAS  Google Scholar 

  17. Siekmann W, Beyer W, Hagena FW, Weseloh G, Refior HJ (1989) Einfluß der Radius-köpfchenresektion auf das Ergebnis der Synovectomie des Ellbogengelenkes bei chronischer Polyarhritis. Aktuel Probl Chir Orthop 37:61–64

    PubMed  CAS  Google Scholar 

  18. Copeland SA, Taylor JG (1979) Synovectomy of the elbow in rheumatoid arthritis — the place of excision of the head of the radius. J Bone Joint Surg 61B:69–73

    Google Scholar 

  19. Grimm J (1989) Spätsynovektomie des Ellenbogens und Resektion des Radiusköpfchens bei chronischer Polyarthritis. Z Orthop 127:77–81

    Article  PubMed  CAS  Google Scholar 

  20. Eichenblat M, Hass A, Kessler I (1982) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 64A: 1074–1078

    Google Scholar 

  21. Taylor AR, Mukerjea SK, Rana NA (1976) Excision of the head of the radius in rheumatoid arthritis. J Bone Joint Surg 58B:485–487

    Google Scholar 

  22. Morrey BF, Askew LJ, An KN, Chao EY (1981) A bio mechanical study of normal functional elbow motion. J Bone Joint Surg 61A:872–877

    Google Scholar 

  23. Inglis AE, Ranawatt CS, Straub LR (1971) Synovectomy and debridement of the elbow in rheumatoid arthritis. J Bone Joint Surg 53A:652–662

    Google Scholar 

  24. Saito T, Koshino T, Okamoto R, Horiuchi S (1986) Radical synovectomy with muscle release for rheumatoid elbow. Acta Orthop Scand 57:71–73

    Article  PubMed  CAS  Google Scholar 

  25. Wilson DW, Arden GP, Ansell BM (1973) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 55B:106–111

    Google Scholar 

  26. Lindau LA, Winia WP, Korst JK (1983) Synovectomy of the elbow in rheumatoid arthritis. Acta Orthop Scand 53:935–937

    Google Scholar 

  27. Rymaszewski L, Mackay I, Amis A, Miller JH (1984) Long term effects of the excision of the radial head in rheumatoid arthritis. J Bone Joint Surg 66B:66–109

    Google Scholar 

  28. Gschwend N, Steiger JU (1986) Ellbogengelenk. Orthopäde 15:304–312

    PubMed  CAS  Google Scholar 

  29. Weseloh G (1989) Einführung. Aktuel Probl Chir Orthop 37:106–119

    Google Scholar 

  30. Torgerson WR, Leach RE (1970) Synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg 52A:371–375

    Google Scholar 

  31. Böhler N, Czurda R, Schwägerl W, Endler M (1979) Erweiterte Ellenbogen-Synovektomie bei primärer chronischer Polyarthritis. Fortschr Med 27:1179–1184

    Google Scholar 

  32. Gschwend N (1980) Surgical treatment of rheumatoid arthritis. Thieme, Stuttgart

    Google Scholar 

  33. Keret D, Porter KM (1984) Synovial cyst and ulnar nerve entrapement. Clin Orthop Relat Res 188:213–216

    PubMed  Google Scholar 

  34. Ishikawa H, Hirohata K (1990) Posterior interosseous nerve syndrome associated with rheumatoid synovial cysts of the elbow joint. Clin Orthop Related Res 254:134–139

    Google Scholar 

  35. Mackay I, Friterald B, Miller JH (1982) Silastic radial head prosthesis in rheumatoid arthritis. Acta Orthop Scand 53:63–66

    PubMed  CAS  Google Scholar 

  36. Wessinghage D (1986) Makropathologische Veränderungen bei chronischen Polyarthritiden — Grundlagen einer neuen Phaseneinteilung des Krankheitsverlaufes. Z Orthop 124:437

    PubMed  CAS  Google Scholar 

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Authors
  1. A. Wanivenhaus
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  2. W. Bretschneider
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Editor information

Editors and Affiliations

  1. Orthopädische Klinik, Heinrich-Heine-Universität, Moorenstr. 5, 40225, Düsseldorf, Germany

    W. Rüther

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© 1996 Springer-Verlag Berlin Heidelberg

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Wanivenhaus, A., Bretschneider, W. (1996). Late Synovectomy of the Elbow Joint. In: Rüther, W. (eds) The Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79739-2_5

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  • DOI: https://doi.org/10.1007/978-3-642-79739-2_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79741-5

  • Online ISBN: 978-3-642-79739-2

  • eBook Packages: Springer Book Archive

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